Individual
CALLI TISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6529 RAIN FOREST DR, LAS VEGAS, NV 89108-1845
(702) 339-2989
Mailing address
6529 RAIN FOREST DR, LAS VEGAS, NV 89108-1845
(702) 339-2989
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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